apt to tumble; he ran with knees bent forward and legs
crooked; he was fond of hopping, and seemed particularly
ape-like when doing so. The great-toe of each foot stood off at
an angle from the foot, and thus gave the impression of a
prehensile toe. I thought at first that this deviation had its
origin in the fact that the child, on account of his uncertainty
in walking, wanted to get a broader basis of support; but I
afterward gave up that opinion, because I have never found an
instance of a similar habit in other children with diseased
heads, e. g., hydrocephalous children. Paul could speak but
little, could say hardly any words except _Papa_ and _Mama_, and
even these he did not until late learn to pronounce in two
syllables; he uttered for the most part only sounds that
resembled a grunt. He imitated the barking of a dog by the sound
_rrrrrr_. He frequently stamped with feet and hands, clapped his
hands together, and ejaculated a sort of grunting sound, just as
I have observed in the case of gorillas and chimpanzees.

"Paul was smaller than children of his age; on his right eye he
had from his youth a large leucoma; the eyelids had generally a
catarrhal affection, and were in a state of suppuration. The
head looked sore; the forehead was small. Paul had a strongly
marked tendency to imitation. His whole being, his movements,
were strikingly ape-like. He was decidedly neglected by his
parents, was generally dirty in appearance, and I really think
the early death of the child was induced by the slight care
taken of him. Paul was taken sick at the beginning of December,
1876, with an acute bronchial catarrh, and died on the 5th of
January, 1877, at the age of seven and a quarter years.

"If you look at the cranium and the brain here, which belonged
to the child just described, there are lacking in the first
place all the characteristics of microcephaly. The cranium
possesses a capacity of 1,022 cubic centimetres, and the brain
weighs 950 grammes; they do not deviate, therefore, from the
normal condition. But let the cranium, where it is laid open by
the saw, be observed from within, and we notice an _asymmetry of
the two hemispheres of the brain_; the cranium is pushed
somewhat forward and to the right. The _partes orbitales_ of the
frontal bone are higher and more arche